NSG 320 / NSG320 ADULT HEALTH EXAM 3. QUESTIONS WITH 100% VERIFIED ANSWERS.

The clinic nurse reviews information about four patients who are requesting Pap testing. Which patient needs to be scheduled first? 1. A 19-year-old patient who first had intercourse at age 13 years 2. A 25-year-old patient who has never had a pelvic examination 3. A 33-year-old patient who had a normal Pap test 2 years previously 4. A 67-year-old patient who says her previous Pap test results have been norma When assessing a patient with cervical cancer who had a total abdominal hysterectomy yesterday, the nurse obtains the following data. Which information has the most immediate implications for planning of the patient's care? 1. Fine crackles are audible at the lung bases. 2. The patient's right calf is swollen, and she reports mild calf tenderness. 3. The patient uses the patient-controlled analgesia device every 30 minutes. 4. Urine in the collection bag is amber and clear. The nurse is supervising a student nurse who is caring for a patient who has an intracavitary radioactive implant in place to treat cervical cancer. Which action by the student requires that the nurse intervene immediately? 1. Standing next to the patient for 5 minutes while assisting with her bath 2. Asking the patient how she feels about losing her childbearing ability 3. Assisting the patient to the bedside commode for a bowel movement 4. Offering to get the patient whatever she would like to eat or drink A patient who had an abdominal hysterectomy 3 days ago reports burning with urination. Her urine output during the previous shift was 210 mL, and her temperature is 101.3°F (38.5°C). Which of these actions prescribed by the health care provider will the nurse implement first? 1. Insert a straight catheter as needed for output of less than 300 mL/8 hr. 2. Administer acetaminophen 650 mg now and every 6 hours PRN. 3. Send a urine specimen to the laboratory for culture and sensitivity testing. 4. Administer ceftizoxime 1 g IV now and every 12 hours. An 86-year-old woman had an anterior and posterior colporrhaphy (A & P repair) several days ago. Her retention catheter was removed 8 hours ago. Which assessment finding requires that the nurse act most rapidly? 1. Her oral temperature is 100.7°F (38.2°C). 2. Her abdomen is firm and tender to palpation above the symphysis pubis. 3. Her breath sounds are decreased, with fine crackles audible at both bases. 4. Her apical pulse is 86 beats/min and slightly irregular. The nurse is reviewing medication lists for several patients. Which medication is most important for the nurse to question? 1. Testosterone transdermal gel for a patient who has prostate cancer 2. Metformin for a patient whose only diagnosis is polycystic ovary syndrome 3. Sildenafil for a patient who is also taking hydrochlorothiazide for hypertension 4. Methoprogesterone for a patient who has infertility associated with endometriosis The nurse is providing orientation for a new RN on the medical-surgical unit who is caring for a patient with severe pelvic inflammatory disease (PID). Which action by the new RN is most important to correct quickly? 1. Telling the patient that she should avoid using tampons in the future 2. Offering the patient an ice pack to decrease her abdominal pain 3. Positioning the patient flat in bed while helping her take a bath 4. Teaching the patient that she should not have intercourse for 2 months Which information obtained when taking a patient's health history will be most important in determining whether the patient should receive the human papillomavirus (HPV) immunization? 1. The patient is 19 years old. 2. The patient is sexually active. 3. The patient has a positive pregnancy test result. 4. The patient has tested positive for HPV previously. Three days after undergoing a pelvic exenteration procedure, a patient reports dizziness after experiencing a sudden "giving" sensation along her abdominal incision. The nurse finds that the wound edges are open, and loops of intestine are protruding. Which action should the nurse take first? 1. Notify the surgeon that wound evisceration has occurred. 2. Cover the wound with saline-soaked dressings. 3. Use swabs to obtain aerobic and anaerobic wound cultures. 4. Call for assistance from the rapid response team (RRT). The nurse is working on a medical unit staffed with LPNs/LVNs and assistive personnel (AP) when a patient with stage IV ovarian cancer and recurrent ascites is admitted for paracentesis. Which activity is best to assign to an experienced LPN/LVN? 1. Obtaining a paracentesis tray from the central supply area 2. Completing the short-stay patient admission form 3. Measuring vital signs every 15 minutes after the procedure 4. Providing discharge instructions after the procedure A new nurse who is assigned to care for a transgender patient who has been admitted with pneumonia tells the charge nurse, "I do not feel comfortable caring for this patient." Which action should the charge nurse take first? 1. Teach the new nurse that culturally sensitive care for all patients is an expectation for staff members. 2. Change the new nurse's assignment for the day and arrange for more training about transgender health. 3. Ask the new nurse to clarify the specific concerns about providing treatment for a transgender patient. 4. Explain to the new nurse that the treatment for pneumonia will not be affected by the patient's transgender status. Which action by the nurse will best meet the goal of providing culturally competent care for lesbian, gay, bisexual, and transgender patients? 1. Direct transgender patients to the unisex bathrooms. 2. Assure patients that they will all be treated the same way. 3. Ask all patients about sexual orientation and gender identification. 4. Develop forms that use gender-neutral terms to collect patient information. While the nurse is working in the clinic, a healthy 32-year-old woman whose sister is a carrier of the BRCA gene asks which form of breast cancer screening is the most effective for her. Which response is best? 1. "An annual mammogram is usually sufficient screening for women your age." 2. "Monthly self-breast examination is recommended because of your higher risk." 3. "A yearly breast examination by a health care provider should be scheduled." 4. "Magnetic resonance imaging (MRI) is recommended in addition to annual mammography. A patient with toxic shock syndrome is to receive clindamycin 900 mg IV over 60 minutes. The clindamycin is diluted in 100 mL of normal saline. The nurse will infuse ____________________ mL/hr. 100 A patient who is being treated as an outpatient for pelvic inflammatory disease (PID) with oral antibiotics returns to the clinic after 3 days of treatment. Which finding by the nurse is of highest concern? 1. Patient reports nausea after taking the antibiotics. 2. Patient's abdominal rebound pain is unchanged. 3. Patient says she feels ashamed to have the infection. 4. Patient's cervical culture report shows gonorrhea.